Amendment_04_-_NURSE_CALL_SYSTEMS_-_2MAR2016.pdf

HOSPITAL REPLACEMENT CAMP PENDLETON 857404

Station Project No.: P-1653 30 September 2011 Rev 0

SECTION 27 52 23.00 20

NURSE CALL SYSTEMS

PART 1 GENERAL

1.1 SUMMARY

This Section includes the installation of a modular, tone-visual and audio-visual nurse communication system. This system is installed in cable tray to conduit, box and cabling system provided by the contractor.

This performance specification provides the minimum requirements for a supervised audio-visual Voice over IP-based (VoIP) Nurse Call System. The System shall include, but not be limited to all equipment, materials, labor, documentation, and services necessary to furnish and install a complete, operational Voice over IP-based Nurse Call System.

The System shall comply in all respects with all pertinent codes, rules, regulations, and laws of the hospital authority and local jurisdiction. The System shall comply in all respects with the requirements of the specifications, manufacturer's recommendations and Underwriters Laboratories Inc. (UL) Listings. The principles and definition of terms used herein shall be set forth in IEEE 602, along with UL 1069, but provisions of this section shall govern.

Each System shall be capable of supporting in excess of 125 Patient Stations and 5000 peripheral stations. The System shall support a single integrated platform for:

1. Wireless Communications System(s)

2. Reporting Database

3. ADT Integration

4. Wireless Locating

5. Supplemental PC Applications

6. Patient/Staff Assignments

System hardware shall consist of a nurse call network comprised of VoIP nurse consoles, PC consoles, nurse call network controllers, patient stations, power supplies, battery back-up, dome lights, pull cord stations, emergency push button stations, wiring and other options such as pocket page interfaces, computer interfaces, wireless/telephone network interfaces, VoIP staff terminals and RTLS (real time locating system) as shown on drawings. All necessary equipment required to meet the intent of these specifications, whether or not enumerated within these specifications, shall be supplied and installed to provide a complete and operating nurse/patient communications network. Entire Network shall be supervised, including all sub-stations. Reporting of station failure shall be to any designated console, PC, e-mail, or wireless device. Remote

SECTION 27 52 23.00 20 Page 1 diagnostics shall be utilized to quickly locate the source of the problem.

It is further intended that upon completion of this work, the client be provided with complete information and drawings describing and depicting the entire System(s) as installed, including all information necessary for maintaining, troubleshooting, and/or expanding the System(s) at a future date, and complete documentation of System certification.

1.2 SUBMITTALS

General: Government approval is required for submittals with a "G" designation; submittals not having a "G" designation are for information only. When used, a designation following the "G" designation identifies the office that will review the submittal for the Government. The following shall be submitted in accordance with Section 01 33 00.05 20

SUBMITTAL PROCEDURES:

The contractor will provide product data for each component, including detailed manufacturer's specifications; G

The contractor will provide shop drawings detailing the system including, but not limited to, the following; G

1. A single-line block diagram showing cabling interconnection of all components for this specific system.

2. CAD drawing of the floor/floors where the Nurse Communications Modules will be installed.

Provide qualifications of the Service Facility. Provide certificates of factory trained personnel that will be conducting any level of programming on the system.

The contractor will provide record drawings with wiring diagrams detailing wiring for power, signal, and control systems and differentiating clearly between manufacturer-installed and field-installed wiring. Identify terminals to facilitate installation, operation, and maintenance. 3 copies.

Report of field tests and observations, including an as-built package of final adjustments certified by Installer, 3 copies.

The contractor will provide maintenance data for system to include in the operation and maintenance manuals, 3 copies.

1.3 QUALITY ASSURANCE

Listing and Labeling: Provide conduit and box system components as specified in accordance with Section 16100 and as indicated herein.

Coordination of Work: The contractor will coordinate patient control units with items controlled that are not part of the nurse call system, including the following:

1. TV: Channel selection and volume.

2. Lights: Up to 2 low voltage lights activated

3. Blinds - up/down

SECTION 27 52 23.00 20 Page 2

1.4 MANUFACTURER

All equipment and components shall be the Manufacturer's current model. The materials, appliances, equipment, and devices shall be tested and listed by a nationally recognized approval agency for use as part of a Nurse Call System. The Manufacturer's representative shall be responsible for the satisfactory installation of the complete System.

The manufacturer's representative shall provide equipment and components, which comply with the requirements of these specifications. Equipment or components, which do not provide the performance and features required by these specifications, are not acceptable, regardless of manufacturer.

All System components shall be the cataloged products of a single manufacturer. All products shall be listed by the Manufacturer for their intended purpose.

All connected field electronics shall be both designed and manufactured by the same company, and shall be tested to ensure that a fully functioning System is designed and installed. The VoIP-based Nurse Call System shall utilize Ethernet topology, switches, and devices. These devices shall make up a UL 1069 Listed nurse call LAN/WAN.

1.5 SEQUENCING AND SCHEDULING

The contractor will coordinate with space provided, including wiring paths and maintenance access, at locations listed below. Coordinate with trim features and finishes at these locations to present a unified design appearance. Include the following:

1. Patient head-wall units

PART 2 MANUFACTURER FURNISHED EQUIPMENT

2.1 GENERAL

The System shall be network-based and incorporate decentralized, distributed intelligence architecture. The System shall allow both data and voice to be distributed over a common network infrastructure, which is consistent with the communication industry. The System shall provide a means of interoperability with 3rd party wired and wireless network devices within the facility, including PCs, PDA's, phones, databases, pagers, etc.

The System shall consist of (include):

1. Staff Consoles and Annunciator Panels with color touch screen LCD panels

2. Power over Ethernet (PoE) Switches

3. Room Control Boards (RCB)

4. Standard Room Stations

5. Graphical Room Stations

6. Single-Gang Push/Pull Type Peripheral Devices

7. Auxiliary Input Stations with 0.25" input receptacle(s)

SECTION 27 52 23.00 20 Page 3

8. Icon-based LED Zone/Room Dome Lights

9. Single Bulb Dome Lights

10. Bed Interface Device consisting of pillow speaker, bed and auxiliary input

11. VoIP Server

12. Configuration Software

13. Stars

14. Monitors

15. Virtual Wall Monitors

16. Nurse Tags

17. Wire/Cable

2.2 SYSTEM

It should be possible to configure the System using a modular, flexible GUI application that provides the system administrator the ability to manage, (add, delete, modify) and diagnose information within the nurse call network.

System cable plan should be of standard Ethernet topology utilizing dedicated CAT5e home runs to each location. Systems requiring separate cabling for power shall not be accepted.

System shall have the ability to use .wav files to create custom tones for each call type.

The system architecture shall not require external power supplies. Systems requiring power supplies to be installed separately from the control equipment shall not be accepted.

Head end equipment/controller equipment shall be standard 19" rack mountable.

All patient stations and staff consoles shall have antimicrobial additives in the plastics to prevent biodegradation due to bacterial residue.

Nurse call system should conform to FDA Class II exempt medical device standards.

2.3 INTEGRATIONS

The System will integrate with:

1. All major wireless telephone vendors (e.g. Ascom, Spectralink, Vocera, Cisco, etc.)

2. Any brand of pocket paging system.

3. Wireless middleware providers (e.g. Emergin, Ascom Unite)

SECTION 27 52 23.00 20 Page 4

4. Admission/Discharge/Transfer (ADT) systems, Nurse Call data and reporting software

5. Staff locating systems

6. Patient-to-staff assignments

7. PC monitors

8. The System is capable of Hill-Rom and/or Stryker bed side-rail communication compatibility including visual and audible annunciation of a disconnected bed.

2.4 STAFF CONSOLES

The staff console provides a central point to monitor and respond to nurse calls. It shall be able to visually and audibly annunciate nurse calls as well as provide full duplex voice capability to answer these calls. Staff consoles should include a handset for private communication but shall support speaker phone for monitoring events.

The staff console has a small footprint that can be desk mounted or wall mounted.

The staff console must be able to monitor single, multiple or all nursing units based on OWNER configuration.

The Staff Console displays incoming calls from stations and connected healthcare equipment, and provides a means for the user to prioritize and respond to selected events. As an audio device, it provides audible signaling functions and facilitates two-way full-duplex staff/patient and staff/staff communications.

Staff Consoles shall have the ability to adjust talk and listen volume levels via easy-to-use controls. These settings shall be adjustable on a room-by-room basis. Systems using group or zone-wide audio adjustments shall not be accepted.

The Staff Console shall provide visual identification of the calling station(s) by room number, bed identification, priority, station type or call type. The Staff Console audible annunciation shall indicate priority level. Incoming calls shall be displayed on the color display in the colors assigned to their specific priority levels.

The Staff Console shall be IP-based, utilizing Voice over IP technology.

The Staff Console shall have a 10.4" color LCD touch screen.

The touch screen shall utilize programmable soft keys as opposed to a mechanical dial/touchpad.

Staff Console display shall provide an adjustable tilt mechanism for viewing clarity.

Intercom audio between the Staff Console and any station in the System shall be full duplex. Systems utilizing one-way (half-duplex) audio shall not be accepted.

SECTION 27 52 23.00 20 Page 5

The Staff Console shall connect to the nurse call network utilizing CAT5e cable and powered Ethernet. No separate power supply or wiring shall be used.

The call pending screen on the Staff Console shall allow up to six calls to be visible at a time and provide a simple scrolling function to view additional calls when more than six pending calls are present.

The Staff Console shall allow the user to select what call to answer from the pending calls list.

The Staff Console shall be able to call other Staff Consoles on the same network. Staff Console to Staff Console audio shall be full VoIP, full duplex.

The Staff Console shall be a self-contained unit not taking up more than 160 square inches of desk space.

Staff Console shall provide patient data without the use of a separate PC.

Staff Console shall receive power from the CAT5e cable supplying data. It shall not require a separate power supply or external transformer.

All components used are RoHS (Reduction of Hazardous Substances) compliant.

With Locating - Staff Console shall show location of active staff members and communicate with them in a single click.

Staff Console primary screen shall indicate incoming calls and staff location information simultaneously.

Priorities of displayed calls shall be programmed as such:

Call Type Priority Level Code Blue 1 Code Call 1 Nurse Assist 2 Emergency 3 Patient-Priority 3 Patient-Personal Attention 4 Patient-Normal Call 4 Nurse Requested

2.5 AUDIO (PATIENT/STAFF) STATIONS

Patient Stations are a primary point of two-way communication between patients and staff. Equipped with two call buttons and a cancel button, they offer users an easy-to-operate means of placing calls on the patient-staff communications system. With two built-in speakers and a separate microphone, these devices also provide staff with the means of opening a full-duplex channel of audio communications with patients.

On-board LEDs provide operational feedback as well as status indication.

Any Audio station may be configured to act as a patient station or a staff station. Staff/Duty stations have all the functionality of an Audio Station with the exception of a Code Blue lever.

SECTION 27 52 23.00 20 Page 6

2.5.1 STANDARD AUDIO STATIONS

Standard Audio Stations shall mount in a 3-gang back box.

Standard Audio Stations shall have a Code Blue Lever to actuate a code blue call in order to prevent false calls.

Standard Audio Stations shall have two speakers to provide clear audio throughout the patient room.

Standard Audio Stations shall have separate microphone to support full-duplex conversation. Systems not providing full-duplex audio capabilities shall not be accepted.

Standard Audio Stations shall not have call devices connected to allow flexible placement for optimal staff access.

Standard Audio Stations shall have anti-microbial additives embedded in the plastic to prevent breakdown due to bacterial residue.

Standard Audio Stations shall provide a cleaning mode to allow staff to clean station surfaces without accidental placement of calls. Activating cleaning mode shall temporarily disable the front panel buttons for a configurable period of time.

Standard Audio Stations shall have a status LED to indicate call and communication status.

Standard Audio Stations shall NOT have DIP switches that require manual setting by field personnel. Stations utilizing manual DIP switches shall not be considered.

Standard Audio Stations shall be hot swappable and not require system shutdown or removal of power prior to replacement.

Talk/Listen volume levels for each Patient Station shall be adjustable on a station-by-station basis. Systems that only allow adjustment of audio levels for a zone, wing or floor, shall not be accepted.

All Standard Audio Stations shall be supervised.

2.5.2 GRAPHICAL AUDIO STATIONS

Graphical Audio Stations shall mount in a 3-gang back box.

Graphical Audio Station shall provide a list of available locations and allow staff to call any of these locations directly.

Graphical Audio Station shall provide a clean room station button to allow the station to be wiped down without accidentally placing a call.

Graphical Audio Stations shall meet UL 1069 impact test requirements.

Graphical stations not meeting these requirements shall not be accepted.

Graphical Audio Stations shall be able to select and initiate an audio conversation with any other graphical station by selecting from a list on the graphical display.

SECTION 27 52 23.00 20 Page 7

Graphical Audio Stations shall have the ability to display active calls by indicating the room number, bed number and type of call on the display.

These calls may be answered from any station on the unit.

Graphical Audio Stations shall have the ability to scroll up or down to view a list of information contained on the display.

Where applicable, Graphical Audio Stations shall have a Code Blue Lever to actuate a code blue call in order to prevent false calls.

Graphical Audio Stations shall have two speakers to provide clear audio throughout the patient room.

Graphical Audio Stations shall have separate microphone to support full-duplex conversation. Systems not providing full-duplex audio capabilities shall not be accepted.

Graphical Audio Stations shall not have call devices connected to allow flexible placement for optimal staff access.

Graphical Audio Stations shall have anti-microbial additives embedded in the plastic to prevent breakdown due to bacterial residue.

Graphical Audio Stations shall provide a cleaning mode to allow staff to clean station surfaces without accidental placement of calls. Activating cleaning mode shall temporarily disable the front panel buttons for a configurable period of time.

Graphical Audio Stations shall have a status LED to indicate call and communication status.

Graphical Audio Stations shall NOT have DIP switches that require manual setting by field personnel. Systems utilizing manual DIP switches shall not be considered

Graphical Audio Stations shall be hot swappable and not require system shutdown or removal of power prior to replacement.

Talk/Listen volume levels for each Graphical Audio Station shall be adjustable on a station-by-station basis. Systems that only allow adjustment of audio levels for a zone, wing or floor, shall not be accepted.

All Graphical Audio Stations shall be supervised.

With Locating: Graphical Audio Station shall provide a list of available staff with name, title, current location and wireless device availability.

Graphical Audio Station shall contain an infrared locator receiver to improve detection of IR badge transmissions from staff members wearing locator badges.

Normal level calls shall be automatically canceled when the assigned caregiver's locator badge is detected in the patient room. Priority or urgent calls should be manually cancelled in any circumstance.

2.6 BED INTERFACE UNITS

Bed Interface Units (BIUs or ASBCs) allow for flexible placement of the Patient Stations by removing the connection points away from the patient

SECTION 27 52 23.00 20 Page 8 station. As the Patient Station is a device normally used by a staff member, they should be placed where a staff member has immediate access.

The Bed Interface Unit (BIU) connects a pillow speaker, a bed and an auxiliary input to the nurse call network.

Two Bed Interface Units may connect to a single patient station to individually annunciate calls from separate beds.

Bed Interface Units provide relay contact isolation for entertainment and lighting, entertainment audio and lighting controls.

2.7 SIDECOM SIDERAIL INTERFACE

The system shall support a Hill-Rom Sidecom interface which allows a patient to place a call via a Hill-Rom side-rail, adjust room lighting controls, adjust television controls and audio volume, if configured and where applicable.

2.8 REMOTE CALL STATIONS

Remote Call Stations are initiating devices that provide patient room call for assistance indication to the patient-staff communications system. When a Remote Station is activated, visual indication of the call displays at the dome light associated with the patient room, and an appropriate call indication registers on the staff console, as well as on any installed annunciators.

Remote Call Stations shall be furnished as specified. These devices are placed in ancillary areas accessible by staff as indicated by local building codes.

Each location shall be capable of supporting more than six remote stations.

Remote Call Stations only place calls, and do not send or receive audio.

The Remote Call Stations shall have a call lever or button, a red call placed LED, and an optional call cancel button.

Where indicated, Remote Call Stations shall provide a cord attached to the lever to allow a patient who has fallen to pull the cord to activate a call.

Remote Call Stations connect to a room I/O board via an 8 conductor Cat 5e UTP cable, which carries device data using supervised wire-per function.

Remote Call Stations are supervised by the system to alert staff in the event of a cable or switch failure.

Devices located in Psychiatric areas shall be keyed activation only.

2.8.1 LAVATORY CALL STATIONS

Lavatory Call Stations are initiating devices that provide patient room call for assistance indication to the patient-staff communications system.

When a Lavatory Station is activated, visual indication of the call displays at the dome light associated with the patient room, and an appropriate call indication registers on the staff console, as well as on any installed annunciators.

SECTION 27 52 23.00 20 Page 9

Lavatory stations are call devices only, and do not send or receive audio.

The lavatory stations have a blue nurse call lever, a red call placed LED, and teal call cancel button.

A cord attached to the lavatory station lever lets a patient who has fallen place an emergency call using the cord.

Stations connect to the assigned room box via a category 5e UTP cable and RJ45 connector.

The assigned staff console(s) and dome light will indicate the alarm condition.

2.8.2 SHOWER CALL STATIONS

Shower Call Stations are initiating devices that provide patient room call for assistance indication to the patient-staff communications system. When a Shower Call Station is activated, visual indication of the call displays at the dome light associated with the patient room, and an appropriate call indication registers on the staff console, as well as on any installed annunciators.

Shower Call Stations are call devices only and do not send or receive audio.

Shower Call Stations mount on the wall inside the shower.

Shower Call Stations are protected from water via a gasket.

Shower Call Stations have a blue nurse call lever and a red call placed

LED.

A cord attached to the Shower Call Station lever lets a patient who has fallen pull the lever using the cord.

Shower Call Stations connect to the assigned room box via a category 5e UTP cable and RJ45 connector.

The assigned staff console(s) and dome light will indicate the alarm condition.

2.9 CORRIDOR (DOME/ZONE) LIGHTS

Corridor (dome) and zone lights provide clear, visual annunciation of events from a particular location. Corridor Lights can help speed response time and increase caregiver efficiency by clearly indicating the status of the corresponding location. These devices are typically installed in corridors and outside patient rooms to provide staff with a visual queue as to the origin of a call placed on the system.

Corridor Lights shall use LED (Light Emitting Diode) technology to eliminate the need to replace incandescent light bulbs that burn out over time. Dome lights that utilize incandescent bulbs rather than LEDs shall not be accepted.

Corridor Lights shall be capable of mounting in a 1-gang back box.

Corridor Lights shall have eight separate, distinguishable sections to

SECTION 27 52 23.00 20 Page 10 indicate multiple, simultaneous events.

Each Corridor Light section shall be capable of indicating at least six colors.

Each call types shall be able to be programmed to indicate a specific dome light section(s), color(s) and flash rate.

Corridor Lights shall be configurable via programming to allow multiple sections of a single light to illuminate and/or flash the same color for higher priority calls.

Corridor Lights shall be able to match any existing Corridor Light schemes via programming.

Corridor Lights shall allow for configurable overlays to be used to clearly distinguish calls or presence information. For example: a flashing "N" would indicate a nurse is needed.

Dome/Zone Lights shall be configured as:

Call Type Dome Light Indication Code Blue Flashing Blue Code Call Flashing Red Nurse Assist Flashing White, Steady Green Emergency Flashing White Patient-Priority Flashing White Patient Personal Attention Steady White Patient Normal Call Steady White Nurse Requested Flashing Green Nurse Present in Room Steady Green

2.10 ROOM CONTROL BOARDS

The Room Control Board shall be mounted above the corridor ceiling or next to the corridor (dome) light outside the patient room. The room board connects to the PoE switch with a Category 5e UTP cable (home run).

The Room Control Board is a junction point for all room devices.

Two audio stations can connect to a Room Control Board as well as the remote locator receiver(s), dome light, remote call station, lavatory station, shower station, zone light, system alarm interface, and stat clock interface.

The Room Control Board is powered by a home run cable connected to the Power over Ethernet switch. LEDs on the room board indicate power and status.

All connections to the room devices have LEDs to indicate if the communication channels are active.

A heartbeat light indicates that software is active.

2.11 POWER OVER ETHERNET (PoE) SWITCHES

PoE Switches provide system power to all devices and interconnectivity with the rest of the system. The PoE switches are part of the nurse call system UL 1069 listed equipment.

SECTION 27 52 23.00 20 Page 11

PoE Switches shall have 24 ports with a maximum power output of 360 watts.

PoE Switches shall mount in a standard 19" network rack and shall be 1RMU high.

PoE Switches connect to Room Control Boards, Staff Consoles, Annunciators, and other PoE Switches.

PoE Switches shall follow standard Ethernet deployment standards.

2.12 PILLOW SPEAKERS

One Pillow Speaker shall be provided for each Bed Interface Unit.

Connection to the bed interface unit shall utilize a standard Champ 50 series 2-type AMP connector.

Where controls of remote devices are applicable, Pillow Speakers shall have a minimum four button capacity, words indicating Nurse Call, TV channel and reading light.

Pillow Speakers shall have LEDs for call placement and audio open indications.

Where applicable, Pillow Speaker shall have a speaker for entertainment audio and nurse call audio.

Audio shall be routed as follows:

When the audio channel between staff and the patient is opened, speaker audio to the patient shall go through the pillow speaker. The microphone in the Audio Station captures the patient's voice.

Volume can be adjusted on a per room basis.

Pillow Speaker housing shall be a high impact UL recognized, 94-VO rated or better polystyrene.

Pillow Speaker internal switches shall be Micro Brand switch rated for 10 million cycles.

2.13 WIRELESS LOCATING

It should be possible to configure the RTLS using a GUI application that provides the system administrator the ability to manage, (add, delete, modify) and diagnose information within the RTLS.

RTLS cable plan should be of standard Ethernet topology utilizing dedicated CAT5e home runs to each location. Systems requiring separate cabling for power shall not be accepted.

The system architecture shall not require external power supplies. Systems requiring power supplies to be installed separately shall not be accepted.

2.13.1 INFRARED EMITTING DEVICES

Infrared emitting devices are battery powered units that are placed in patient care areas, equipment storage locations, nursing areas, and hallways, as dictated by use case.

SECTION 27 52 23.00 20 Page 12

The devices are labeled with unique identifiers and can be easily mounted to all types of ceilings (drop or smooth).

Each infrared emitting device is supervised (via RF) by the RTLS and Over the Air configurable (OTA) to adjust power and other settings to address all types of physical environments.

The Infrared emitting devices provide for non-line of sight performance that generates certainty-based room-level or bed level locating.

2.13.2 ROOM AND HALLWAY MONITORS

Room and Hallway monitors have a range of 60 in open spaces and are capable of effectively filling 20 x 20 space. Standard battery life at typical settings is 5+ years with extended life options offering 10+ years.

2.13.3 VIRTUAL WALL MONITORS

Virtual Walls are used areas where bay or bed level locating is required such as semi-private rooms, Emergency Departments, PACU, or any curtained areas.

The Virtual Walls can create bays out of open space (such as a ward).

Minimum room size is 8 x 6 with 1 wall thickness on each side. Standard battery life at typical settings is 3+ years.

2.13.4 STARS (900mhZ Antenna)

Stars communicate with infrared emitting devices and Tags. Stars receive location information from tags and supervise and configure both Tags and infrared emitting devices Over the Air (OTA).

Stars are Ethernet devices that connect to all hospital networks via the WLAN or Wi-Fi network. They are DHCP devices that can be easily added to the network.

2.13.5 TAGS

Tags have an infrared receiver and a 900 MHz transceiver. They receive infrared from infrared emitting devices and send / receive information from the 900 MHz antenna.

Each Tag has a unique ID printed on a label with a bar code.

Tags utilize advanced battery management techniques and generate low battery indicators based upon customer specified levels.

The Tags have a standard ping rate of 3 seconds and utilize field replaceable batteries.

2.14 LOCATING APPLICATIONS

2.14.1 INTEGRATED IR STAFF LOCATING

An integrated infrared locating system shall be supplied. Locating areas shall be defined as shown on shop drawings. Infrared locating system shall run off existing nurse call system network. IR locating systems requiring separate power and wiring support will not be accepted.

SECTION 27 52 23.00 20 Page 13

Staff members wear infrared locator badges. Each badge emits a unique, silent infrared signal. Up to 32000 IDS are possible. The infrared signal is emitted every 2 to 4 seconds. Stars detect the unique signals transmitted by the locator badge. This allows the network to track the location of a staff member and pass it along each point on the network. The locator badge uses a 3 volt lithium battery. Life expectancy is a function of battery grade and can be from 2 to 4 years.

The system shall track the location of staff by two field configurable options. The first displays staff presence in an area each time the locator badge signal is picked up by an infrared receiver. This location is displayed on each staff console and graphical audio station on the network.

If staff members are not found, asterisks are placed next to the staff member's name.

The second method displays the last known location instead of asterisks at the staff console and graphical audio stations. The time interval since the staff member left the last known location will be displayed on the location screens at the staff console. The audio channel can be opened up to the last known location if an audio station is present.

PART 3 EXECUTION

3.1 INSTALLATION

Install equipment to comply with manufacturer's written instructions.

Wiring Method: Install wiring in compliance with ANSI/TIA-569 Commercial Building Standards Telecom Pathways and Spaces.

Terminations: Terminate cabling in back boxes with 8 pin 8 wire RJ45 connectors.

Identification of Conductors and Cables: Use color coding of conductors and apply wire and cable marking tape to designate wires and cables so all media are identified in coordination with system wiring diagrams. Label stations, controls, and indication using approved consistent nomenclature.

All nurse call cabling to be Yellow in color.

Provide rack mounted uninterruptible power supply rated for a minimum of 20 minutes of battery backup.

All comm rooms shall have a dedicated (min. 2 strand)MM fiber originating from Room 2493 for the Nurse Call System.

The Nurse call system to reside on a separate network(parallel to the DOD network). A single point of connection, within Comm Rm 2493, shall join these two networks together. In the event of failure of either network, this connection can be disconnected to operate independently.

NAVFAC to provide all IP addresses, subnet masks, etc. Contractor to request this information at least 3 months prior to needing this information. Devices type, quantities and locations shall be provided.

3.2 FIELD QUALITY CONTROL

Manufacturer's Field Service: provide services of a factory-authorized

SECTION 27 52 23.00 20 Page 14 service representative to supervise the field assembly and connection of components and the testing and adjusting of the system by the Contractor.

Test Procedure: Confirm to the following:

1. Schedule tests a minimum of 7 days in advance of performance of tests.

2. Report: Submit the as-built package with all test results and drawings.

3. Manufacturer shall effectively coordinate the installation process.

This would include but not be limited to inventory of parts, reviewing correct placement of cables, correct mounting of devices, and monitoring the installing contractor's compliance with the installation schedule.

4. Troubleshoot and make corrections to the communications equipment.

5. Edit computer files to customize the system within the capabilities of the software sent to the site.

6. Coordinate the service of in hospital assigned maintenance.

7. Coordinate the proposed interfaces as outlined in the proposal.

(Pager systems, wireless phones, code blue alarms, and other special engineering interfaces as outlined in this document).

8. Communicate the installation requirements to the installing contractors.

9. Review project time schedule, estimate time requirements and communicate to the hospital.

10. The Contractor shall furnish all labor, specialties, instruments, equipment, etc., required for the tests and installation.

11. All tests shall be conducted before any equipment is connected that would be subject to damage from the test.

12. The Contractor shall notify the owner at least one day prior to the actual test.

13. Results of the tests shall show that the equipment and wiring shall meet the requirements of this specification. Should any of the above tests indicate the defects in materials or workmanship, the faulty installation shall be repaired or replaced at once and the necessary portions of the tests re-conducted to the approval of the owner.

14. The test shall demonstrate to the satisfaction of the owner the following:

a. That all power and control circuits are continuous and free form short circuits.

b. That all circuits are free from unspecified grounds and grounded where specified.

c. That all circuits are properly connected in accordance with the

SECTION 27 52 23.00 20 Page 15 applicable wiring diagrams.

d. That all circuits are operable, which demonstration shall include functioning of each control not less than two (2) times.

e. Re-testing: Rectify deficiencies indicated by tests and completely retest work affected by such deficiencies at Contractor's expense. Verify by the system test that the total system meets the Specifications and complies with applicable standards. Provide a written record of all retest results.

f. Inspection: Verify that units and controls are properly labeled and interconnecting wires and terminals are identified.

3.3 CLEANING

Prior to final acceptance, clean system components and protect from damage and deterioration.

3.4 DEMONSTRATION

Demonstration and Training: The contractor will arrange for all instructions.

Training Operating and Maintenance Personnel. Furnish instruction for operating staff in system operation and operator troubleshooting and preventive maintenance procedures. Instruction shall consist of 2 man-days, 8 hours per day, and shall be held during normal duty hours.

Commence instruction after system is fully operational, and complete instruction prior to system acceptance and turnover to the Government.

Furnish maintenance instruction for Government maintenance personnel in adjustment, operation, and maintenance of each system component. Complete maintenance instruction prior to system acceptance and turnover to the Government.

3.5 SYSTEM ACCEPTANCE

Nurse Call System Acceptance testing shall be performed as follows:

1. The NAVFAC and NAVFAC Engineer will conduct final acceptance testing of the system.

2. Prior to the final acceptance test, security contractor shall conduct a complete test of the entire Nurse Call System including subsystems and provide the NAVFAC and NAVFAC Engineer with a written report.

3. Following completion of the initial testing and correction of any noted deficiencies, conduct a five-day burn-in test, intent of the burn-in test shall be to prove the Nurse Call system by placing it in near real operating conditions. During this period the system shall be fully functional and programmed such that all points, interfaces, controls, reports, messages, prompts, etc. can be exercised and validated. Record and correct any system anomaly, deficiency, or failure noted during this period. Scheduling of the final acceptance test shall be based on a review of the results of this burn-in test.

4. Deliver a report describing the results of the functional tests, burn-in tests, diagnostics, calibrations, corrections, and repairs

SECTION 27 52 23.00 20 Page 16 including written certification to the NAVFAC and NAVFAC Engineer that the installed complete Nurse Call System has been calibrated, tested, and are fully functional as specified herein.

5. Prior to the final acceptance test, complete all clean-up and patch work requirements. Nurse call equipment closets and similar areas shall be free of accumulation of waste materials or rubbish caused by operations under the contract at completion of the Work, remove all waste materials, rubbish, contractor tools, construction equipment, machinery and all surplus materials.

6. Upon written notification from the Contractor that the Nurse Call System is completely installed, integrated and operational, and the burn-in testing completed, the NAVFAC and NAVFAC Engineer will conduct a final acceptance test of the entire system at a mutually acceptable time.

7. During the final acceptance test, no adjustments, repairs or modifications to the system shall be conducted without the permission of the NAVFAC.

8. During the course of the final acceptance test by the NAVFAC and NAVFAC Engineer, the Contractor shall be responsible for demonstrating that, without exception, the completed and integrated Nurse Call System complies with the contract requirements. Physical and functional requirements of the project shall be demonstrated and shown. This demonstration will begin by comparing as-built drawings conditions of the Nurse Call System to requirements outlined in this Section, item by item.

9. The functionality of the various interfaces between systems will be tested.

10. The installation of all field devices will be inspected. This field inspection will weigh heavily on the general neatness and quality of installation, complete functionality of each device, and compliance with mounting, back box and conduit requirements.

11. All equipment shall be on and fully operational during any and all testing procedures. Provide personnel, equipment, and supplies necessary to perform all site testing. Provide a minimum of two Contractor employees familiar with the Nurse Call System for the final acceptance test. One contractor employee shall be responsible for monitoring and verifying alarms while the other will be required to demonstrate the function of each device. Supply at least two radios or portable telephones for use during the test.

12. The NAVFAC and NAVFAC Engineer retain the right to suspend, terminate or reschedule testing at any time when the Nurse Call system when found to be incomplete or fails to perform as specified if the installing contractor is deemed at fault. In the event it becomes necessary to suspend, terminate or reschedule the test, the Contractor shall work diligently to complete and/or repair all outstanding items as required by the Contract Documents. The Contractor shall supply the NAVFAC and NAVFAC Engineer with a detailed punch list completion schedule outlining task-by-task completion dates and a tentative date for a subsequent retest. During the finalacceptance test, no adjustments, repairs or modifications to the system shall be conducted without the permission of the NAVFAC Engineer and NAVFAC.

SECTION 27 52 23.00 20 Page 17

3.6 WARRANTY

Contractor to provide replacement of parts, equipment and labor for 1 year of date of acceptance, at no cost to the owner.

-- End of Section --

SECTION 27 52 23.00 20 Page 18

TAB #

POE Switches

RTLS System Overview/Software

Room/Hallway Monitors

Virtual Wall Monitors

Stars

Tags

Pillow Speakers

Standard Audio Station

Graphical Audio Station

Bed Interface Unit

Remote Call Stations

Dome/Zone Lights

Room Control Boards

DATE:

Bergelectric Corporation

9/30/2011

NAME OF SUBCONTRACTOR:

Server/Client Machines

TABLE OF CONTENTS

Nurse Call System Spec Section 27 52 23.00 20

Item Description

Submittal # 12712.001 Camp Pendleton Replacement Hospital

It is hereby certified that the (material) (equipment) (article) shown and/or marked in these submittals, shop drawings, catalog cut(s), etc. is proposed to be incorporated with Contract No. 4008068-1600100 is in complete compliance with Contract Drawings and Specifications, and can be installed in the allocated spaces.

TITLE OR POSITION: Project Manager

AUTHORIZED SIGNATURE:

System Overview/Software

Staff Console

TAB # 1

System Overview/Software

Submittal # 12712.001

Camp Pendleton Replacement Hospital

Spec Section 27 52 23.00 20

Nurse Call System

NaviCare® Nurse Call™ (NNC) is an enterprise system that connects and monitors hospital beds and bed-surface data to network applications for viewing and alerting. The system provides an interface to the hos-pital staff and the patients to communicate with each other through the private nurse call network.

NAVICARE NURSE CALL

NETWORK REQUIREMENTS

The following ports must be opened for NNC

Port Description

50007-50008 Bed Messages and NIU

9000 NaviCare BUS

443 HTTPS (outbound only)

20-21 FTP

4000-4500 FTP

67-68 BootP (if used)

69 FTP (if used)

Hill-Rom recommends that you segment off your net-work into a separate Virtual Local Area Network ( VLAN).

If you have Layer 2 or Layer 3 switches that support

Quality of Service (QoS), they will be able to isolate traf-fic in that particular VLAN.

NNC INFRASTRUCTURE

Data Specifications

Connecting You to Your PatientNaviCare® Nurse Call™

LAB00383 rev 1

NET WORK COMMUNICATION

The components of NaviCare® Nurse Call™ (NNC) communicate with each other over a digital network.

This network carries both control messages and digi-tized voice communications.

CONTROL MESSAGING

Control messaging allows components to send messag-es to other components. For example, when someone presses the call button on a room station, the system sends a message to the room’s Dome Light instructing it to illuminate. The system also sends a message to the primary console, instructing it to add this call to the

Incoming Calls list.

VOICE OVER IP

NNC carries audio signals over the same Internet proto-cal network used to transmit data with Voice over IP

( VoIP) technology. This allows the users at the primary console, patient stations, and staff stations to converse with each other.

NETWORK CONNECTIVITY

The method that connects any two components togeth-er depends on the type and amount of data exchanged between them. NNC uses the following types of con-nections:

Wire-per-function•

Serial RS-485•

Digital voice and data link•

Intra-room network•

Infrared transmission (IR) between the locator • badge and the locator receiver

Local Area Network (LAN)•

INTRA-ROOM CONNECTIONS

All NNC connections in a room, except for the wire-per-function connections, involve a microprocessor or computer at each end of the connection. The device containing the microprocessor is considered a node in the NNC network.

INFRARED CONNECTIONS

Locator badges and locator receivers are connected by infrared signals that are periodically emitted in short energy bursts by the infrared Light-Emitting Diodes

(LEDs) on the face of the locator badge. A locator receiv-er in patient stations, staff stations, and remote locator receivers pick up these signals. The badge ID is sent in a very short data packet that provides for error detection.

LAN CONNECTIONS

LAN connections are required for multiple primary consoles to share data with each other. Staff consoles use TCP/IP data transport protocols through an Ethernet connection.

WIRE-PER-FUNCTION CONNECTIONS

In the wire-per-function connection, a wire is used for each function. For example, in the bath switch, five wires are used for the following:

Power•

Ground•

Bath call button•

Cancel button•

Bath call LED•

These wires run in an eight-wire cable from the bath switch to the Room Control Board (RCB). This type of connection is also used between the following:

RCB connecting to switches and lights•

Audio Station Bed Connector (ASBC) connecting to • pillow speaker

ASBC connecting to a SideCom® unit•

Data Specifications

NaviCare® Nurse Call™ (NNC) software enables the various system components.

COMPONENTS

The NNC software consists of the following:

NNC Server•

Firmware and room station application software • located in each Staff Console and staff station

Smart Client for patient and staff administration•

Enterprise Configuration Tool•

VoIP Server•

NNC SERVER

The NNC Server runs the software services that en-able various features of the system. This server uses a

Windows-based server platform that supports Windows

Communication Foundation ( WCF), a service architec-ture framework provided by Microsoft. Each service con-trols or maintains information about a specific aspect of the system and is responsible for updating the database when changes to that information occur.

The NNC Server does the following:

Processing calls•

Monitoring the connection status between devices • and the system

Maintaining the state and configuration of each • device

Ensuring that all devices are configured as specified • in the Enterprise Configuration Tool

Maintaining patient/staff assignments•

Maintaining information about each location, • including its place in the organization’s location hierarchy and what devices are installed where

Maintaining information about roles and permis-• sions defined in the system

Logging diagnostic informaiton to the database•

And more...•

NNC services can run on one machine or they can be distributed across multiple machines for load-balanc-ing. IT administrators can use the Service Manager to determine the load that each service is processing and re-distribute services as appropriate to optimize perfor-mance without interrupting system operations.

NNC SOFT WARE COMPONENTS

FIRMWARE AND ROOM STATION APPLICA-

TIONS

The firmware and station software includes the execut-able files that operate NNC. It also includes various data files and a configuration file that determine how the system operates.

Firmware and room station applications allow staff members to do the following:

Make and receive calls•

Page other staff members•

Locate other staff members•

Perform information management functions•

Set the staff console in attended or unattended • mode

Respond to system diagnostic messages•

Room stations can be configured as patient stations, staff stations, and duty stations. The firmware on these stations is configured using with a setup file created using the Enterprise Configuration Tool. The setup file is pushed out to the room stations through the NNC

Server.

Updates to the firmware can also be pushed out to the room stations through the Enterprise Configuration Tool and the NNC Server.

SMART CLIENT

Use the Smart Client, NNC allows hospital administra-tive staff to manage patient and staff information from a PC connected to the hospital network, including the following tasks:

Add, modify and delete patient records•

Add and deactivate staff members •

Assign staff members to nursing units•

Assign staff members to patients•

Assign staff members to wireless devices•

Assign patients to rooms•

Transfer and discharge patients•

Data Specifications

ENTERPRISE CONFIGURATION TOOL

Using the Enterprise Configuration Tool, the system can be configured to meet unique hospital requirements for each installation. System setup files contain information concerning the following:

Room configuration•

Station configuration•

Switch configuration•

Call type•

Call type definitions•

Dome and Zone Light configuration•

Paging zone configuration•

Remote Locator Receiver configuration•

External call relay control•

Staff and patient titles available when creating staff • and patient records

Patient notes (special patient information) available • when creating patient records

Room board connections are software-configurable • to support multiple call devices

Named locations on room station screens•

Minutes that elapse before an unlocated staff mem-• ber ’s badge becomes inactive and is taken off the location list

Page zone names•

Staff title options•

Patient title options•

Patient note options•

Whether or not the system will prompt the Staff •

Console operator to place a call on the reminder list

Special external call relay control•

Out-of-room (area) remote locator receivers•

Low volume period options for tone and voice•

Dome Light options for annunciating certain call • types with lights and tones

VOIP SERVER

The VoIP Server enables voice communication over the same standard Ethernet connection used to transmit

NNC data, eliminating the need to connect NNC to a separate telephone network.

The VoIP Server can reside on a dedicated machine or on the same machine as other NNC software, such as the NNC Server and SQL Server, but it must reside on a

UL 1069-approved machine.

BUILT-IN DIAGNOSTICS

Built-in diagnostics notify the system when a station, ASBC, locator receiver, Dome Light, Zone Light, or Room

Control Board cannot communicate with the rest of the system.

ONLINE HELP

An online help feature enables users to quickly learn how to understand and use NNC.

THIRD PARTY SOFTWARE

VIRUS PROTECTION

Customers can choose their own Virus Protection soft-ware applications to run in the NNC system. Customers will be able to update the Virus Definition File as soon as one is available. In the unlikely event of a system incom-patibility, Hill-Rom reserves the right to have the virus protection software removed and replaced for trouble-shooting purposes.

REMOTE ACCESS

Customers can use Hill-Rom remote access software to remotely access the NNC system. Hill-Rom currently uses

Hill-Rom Remove Services (HRRS) to provide remote system support, diagnostics, and maintenance.

INTERFACES

The NNC system can interface with the hospital ADT system, Ascom, Vocera systems, Spectralink, and other wireless handsets and hospital PBXs. Bed status informa-tion requires an interface with Hill-Rom beds.

Data Specifications

Submittal # 12712.001

Camp…